Millennium Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR3216 Issued in AR

Legal business name

MILLENNIUM DENTAL, PLLC

Practice address

2827 E Millennium PL Ste 3
Fayetteville, AR 72703-6528

Phone

(479) 521-4440

Fax

(479) 521-4443

NPI assigned

Aug 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael S Nelson, D.D.S.NPI 1932119054

Title

Dentist

Phone

(479) 521-4440

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Nelson, D.D.S.

  • General Practice Dentistry
  • Berryville, AR
  • NPI 1932119054
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215947304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 E MILLENNIUM PL STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036528",
            "telephone_number": "479-521-4440",
            "fax_number": "479-521-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 E MILLENNIUM PL STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036528",
            "telephone_number": "479-521-4440",
            "fax_number": "479-521-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-521-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR3216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "1790011",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "5T702",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AR3216",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midtown Counseling
• Mark L Miedema, M.D.
• Mike Buffington, M.D., P.a.
• Andrew Mikles
• Miles M Johnson, M.D. P.a.
• Millennium Dental, PLLC
• Ashley H Miller
• Austin Michael Miller
• Catherine Miller
• Charles Lindsey Miller, M.D.

• General Practice Dentistry in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.